20240522 03314700 1.0 FALSE Development_Test_Set 002 Geographic GCS_WGS_1984 Angular Unit: Degree (0.017453) <GeographicCoordinateSystem xsi:type='typens:GeographicCoordinateSystem' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xmlns:xs='http://www.w3.org/2001/XMLSchema' xmlns:typens='http://www.esri.com/schemas/ArcGIS/3.1.0'><WKT>GEOGCS[&quot;GCS_WGS_1984&quot;,DATUM[&quot;D_WGS_1984&quot;,SPHEROID[&quot;WGS_1984&quot;,6378137.0,298.257223563]],PRIMEM[&quot;Greenwich&quot;,0.0],UNIT[&quot;Degree&quot;,0.0174532925199433],AUTHORITY[&quot;EPSG&quot;,4326]]</WKT><XOrigin>-400</XOrigin><YOrigin>-400</YOrigin><XYScale>999999999.99999988</XYScale><ZOrigin>-100000</ZOrigin><ZScale>10000</ZScale><MOrigin>-100000</MOrigin><MScale>10000</MScale><XYTolerance>8.983152841195215e-09</XYTolerance><ZTolerance>0.001</ZTolerance><MTolerance>0.001</MTolerance><HighPrecision>true</HighPrecision><LeftLongitude>-180</LeftLongitude><WKID>4326</WKID><LatestWKID>4326</LatestWKID></GeographicCoordinateSystem> 20240522 07332500 20240522 07332500 Esri ArcGIS 13.1.3.41833 Development_Test_Set Dataset created with limited records to test SQL Inbox functionality in Survey123 without impacting production Inboxes. File Geodatabase Feature Class dataset EPSG 6.2(3.0.1) 0 Simple FALSE 0 TRUE FALSE Development_Test_Set Feature Class 0 OBJECTID OBJECTID OID 4 0 0 Internal feature number. Esri Sequential unique whole numbers that are automatically generated. Shape Shape Geometry 0 0 0 Feature geometry. Esri Coordinates defining the features. STATE_VENDOR_NO STATE_VENDOR_NO String 256 0 0 CONTRACT_NO CONTRACT_NO String 256 0 0 CONTRACT_NAME CONTRACT_NAME String 256 0 0 VENDOR_REMIT VENDOR_REMIT String 256 0 0 Atrate Attempt Rate Integer 4 0 0 Srate SC Rate Integer 4 0 0 Rrate Reinspection Rate Integer 4 0 0 Arate Annual Rate: Integer 4 0 0 EditDate EditDate Date 8 0 0 Editor Editor String 128 0 0 lpha_name LPHA Name String 256 0 0 fac_county County String 255 0 0 inspection_pass_new Inspection Pass String 256 0 0 inspection_date_new Inspection Date (New) Date 8 0 0 CreationDate CreationDate Date 8 0 0 state_lpha What agency is completing inspection? String 256 0 0 participating_lpha Is this a DHSS inspection system user? String 256 0 0 Creator Creator String 128 0 0 manual_remove Manually Remove String 256 0 0 fac_purpose Purpose String 255 0 0 close_request Close Request Reason String 256 0 0 globalid GlobalID GlobalID 38 0 0 fac_request_date Request Date Date 8 0 0 fac_dvn DVN String 255 0 0 fac_name Establishment name String 255 0 0 fac_phone Establishment Phone String 255 0 0 facility_email Facility Email String 255 0 0 facility_contactname Facility Contact Name String 255 0 0 fac_establishment_geocode Full address String 255 0 0 fac_address Address String 255 0 0 fac_city City String 255 0 0 fac_state State String 255 0 0 fac_zip ZIP code String 255 0 0 fac_district District String 255 0 0 fac_water_sewer Water/Sewer String 255 0 0 fac_type Type of Facility String 255 0 0 fac_status Facility Status String 255 0 0 fac_capacity Facility Capacity Double 8 0 0 fac_age_range Age Range String 255 0 0 fac_shifts Shifts String 255 0 0 fac_circumstance Special Circumstances String 255 0 0 fac_Supervisor Supervisor String 255 0 0 fac_Supervisor_email Supervisor Email String 255 0 0 inspector_name Inspector's Name String 255 0 0 inspector_phone Inspector Telephone Number: String 255 0 0 fac_inspector_email Inspector Email String 255 0 0 fac_checklist_date Checklist Date Date 8 0 0 req_to_ephs Assigned Date Date 8 0 0 inspection_due_date Supervisor Assigned Inspection Due Date Date 8 0 0 fac_comments Facility Comments String 1000 0 0 gh_time_in Arrival Time Date 8 0 0 gh_inspection_date Inspection Date Date 8 0 0 gh_a1 1. Clean and free of unsanitary conditions. String 255 0 0 gh_a2 2. No environmental hazards observed. String 255 0 0 gh_a3 3. No evidence of insects, spiders, rodents or pest harborage. String 255 0 0 gh_a4 4. Well ventilated, no evidence of mold, noxious or harmful odors. String 255 0 0 gh_a5 5. Screens on windows and doors used for ventilation in good repair. String 255 0 0 gh_a6 6. No indications of lead hazards. String 255 0 0 gh_a7 7. No toxic or dangerous plants accessible to children. String 255 0 0 gh_a8 8. Medicines and other toxic agents not accessible to children and stored to prevent contamination of child contact items. String 255 0 0 gh_a9 9. All sinks equipped and mixing faucets or combination faucets with hot and cold running water under pressure. String 255 0 0 gh_a10 10. Hot water temperature at sinks accessible to children: 100 degrees - 120 degrees F. String 255 0 0 gh_a10_b Temp(s) at time of inspection: String 255 0 0 gh_a11 11. Pets free of diseases communicable to man. String 255 0 0 gh_a12 12. Pets living quarters clean and well maintained. String 255 0 0 gh_a13 13. Reptiles prohibited on the premises. Birds of the Parrot Family tested for Psittacosis. String 255 0 0 gh_a14 14. Swimming/wading pools filtered, treated, tested and water quality records maintained. Meets local codes. String 255 0 0 gh_a15 15. A minimum of 18[double_quote] separation between drinking fountains and hand sinks. String 255 0 0 gh_a16 16. No high hazard cross connections. String 255 0 0 gh_section_a_observations gh_section_a_observations String 255 0 0 gh_section_a_x Issues Noted: String 255 0 0 gh_b1 1. Select Water Type String 255 0 0 gh_b3_private 1. Constructed to prevent contamination. String 255 0 0 gh_b4_private 2. Meets DHSS water quality requirements. String 255 0 0 gh_b5 A. Bacteriological sample results: String 255 0 0 gh_b6 B. Chemical sample results: String 255 0 0 gh_section_b_observations gh_section_b_observations String 255 0 0 gh_section_b_x Issues Noted: String 255 0 0 gh_c1 Select Sewer Type String 255 0 0 gh_c2 1. DNR Regulated System Type String 255 0 0 gh_c4 2. DHSS Regulated System Type String 255 0 0 gh_c9 Meets DHSS requirements. String 255 0 0 gh_c10 3. Meets local requirements. String 255 0 0 gh_section_c_observations gh_section_c_observations String 255 0 0 gh_section_c_x Issues Noted: String 255 0 0 gh_d1 1. Caregivers and children wash hands using soap, warm running water and sanitary hand drying methods. String 255 0 0 gh_d2 2. Care givers and children wash hands BEFORE: preparing, serving, and eating food; glove use. AFTER: toileting, diapering, assisting with toileting, nose blowing, handling raw food, glove use, cleaning and sanitizing, outdoor play, handling animals, eating, smoking, and as necessary. String 255 0 0 gh_d3 3. Personnel preparing food free of infection or illness. String 255 0 0 gh_section_d_observations gh_section_d_observations String 255 0 0 gh_section_d_x Issues Noted: String 255 0 0 gh_e1 1. Food from an approved source and in sound condition; no excessively dented cans. String 255 0 0 gh_e2 2. No use of home-canned food. No unpasteurized milk. String 255 0 0 gh_e3 3. Ground beef cooked to 155° F; poultry and pooled eggs to 165° F; pork to 145°F; and all other foods cooked to at least 135° F; all hot food kept at 135° F or above. String 255 0 0 gh_e4 4. Precooked food reheated to 165° F. String 255 0 0 gh_e5 5. Food requiring refrigeration stored at 41° F or below.. String 255 0 0 gh_e6_a 6. Refrigerator 41° F or below, accessible readable thermometer required. Foods in freezer frozen solid. String 255 0 0 gh_e6_b 6b.Temp(s) at time of inspection: String 255 0 0 gh_e7 7. Metal stemmed thermometer reading 0 - 220° F in 2° increments for checking food temperatures. String 255 0 0 gh_e8 8. Food, food related items and utensils covered and stored to prevent contamination by pests, toxic agents, cleaning agents, water drain lines, medicines, dust, splash and other foods. String 255 0 0 gh_e9 9. Food, toxic agents, cleaning agents not in their original containers shall be properly labeled. String 255 0 0 gh_e10 10. No food stored or prepared in diapering areas or bathrooms. String 255 0 0 gh_e11 11. Food stored in food grade containers only. String 255 0 0 gh_e12 12. Food thawed under refrigeration, 70° F running water, or microwave if part of the cooking process. String 255 0 0 gh_e13 13. No animals in food preparation or food storage areas. String 255 0 0 gh_e14 14. No eating, smoking, drinking during food preparation. String 255 0 0 gh_e15 15. Food served and not eaten shall not be re-served to children in care. String 255 0 0 gh_e16 16. Refrigerated potentially hazardous foods properly marked with 7-day discard date after opening or preparation. String 255 0 0 gh_section_e_observations gh_section_e_observations String 255 0 0 gh_section_e_x Issues Noted: String 255 0 0 gh_f1 1. All items requiring sanitizing shall be washed, rinsed, and sanitized with approved agents, methods, and concentrations. String 255 0 0 gh_f2 2. All utensils and toys air dried. String 255 0 0 gh_f3 3. The following items washed, rinsed and sanitized after each use: String 255 0 0 gh_f3_a 3A. Food utensils String 255 0 0 gh_f3_b 3B. Food contact surfaces including eating surfaces, high chairs, etc. String 255 0 0 gh_f3_c 3C. Potty chairs and adapter seats. String 255 0 0 gh_f3_d 3D. Diapering surfaces. String 255 0 0 gh_f3_e 3E. All toys that have had contact with body fluids. String 255 0 0 gh_f4 4. The following items washed, rinsed and sanitized after each use: String 255 0 0 gh_f4_a 4A. Toilets, urinals, handsinks. String 255 0 0 gh_f4_b 4B. Non-absorbant floors in infant/toddler spaces. String 255 0 0 gh_f4_c 4C. Infant/Toddler toys used during the day. String 255 0 0 gh_f5 5. Walls, ceiling, and floors clean and in good repair. Cleaned and sanitized when contacted by body fluids. String 255 0 0 gh_f6 6. Appropriate test strips available to check proper concentration of sanitizing agents. String 255 0 0 gh_f7 7. Soiled laundry stored and handled in a manner which does not contaminate food and food related items and child contact items. String 255 0 0 gh_section_f_observations gh_section_f_observations String 255 0 0 gh_section_f_x Issues Noted: String 255 0 0 gh_g1 1.Single service items not reused. String 255 0 0 gh_g2 2. All food equipment and utensils in good repair. String 255 0 0 gh_g3 3. Food preparation and storage areas have adequate lighting. String 255 0 0 gh_g4 4. Kitchen equipment that produces excessive grease laden vapors, moisture, or heat is properly vented. String 255 0 0 gh_g5 5. Facilities shall have a dedicated mechanical refrigeration for facility use only.Exception: License-Exempt facilities approved BEFORE October 31, 1997. String 255 0 0 gh_g6 6. No carpeting or absorbent floor coverings in food preparation areas. String 255 0 0 gh_g7 7. Adequate preparation and storage equipment for hot foods. String 255 0 0 gh_g8 8. Facilities with a capacity of 20 children or less shall have: String 255 0 0 gh_g8a A. Mechanical dishwasher that sanitizes; or employ an additional sanitizing rinse in conjunction with the mechanical dishwasher; or a 3 compartment sink or a 2 compartment sink with a third portable compartment for the final sanitizing step. String 255 0 0 gh_g8b B. If a mechanical dishwasher is used, a minimum of two sinks located in the food preparation area labeled as: 1) Hand washing only 2) Food preparation only. String 255 0 0 gh_g9 9. Facilities with a capacity of more than 20 children approved BEFORE October 31, 1991, shall have: String 255 0 0 gh_g9a A. Mechanical dishwasher that sanitizes; or employ an additional sanitizing rinse in conjunction with the mechanical dishwasher; or use a 3 compartment sink. String 255 0 0 gh_g9b B. If a mechanical dishwasher is used, a minimum of two sinks located in food preparation areas labeled as: 1) Hand washing only 2) Food preparation only. String 255 0 0 gh_g10 10. Facilities with a capacity of more than 20 children approved AFTER October 31, 1991 shall have: String 255 0 0 gh_g10a A. Facilities located in a provider's residence shall have separate food preparation and storage areas. String 255 0 0 gh_g10b B. A commercial dishwasher or a 3 compartment sink in addition to a separate hand washing sink. String 255 0 0 gh_g10c C. If a commercial dishwasher is used, a sink located in the food preparation area labeled as food preparation. String 255 0 0 gh_section_g_observations gh_section_g_observations String 255 0 0 gh_section_g_x Issues Noted: String 255 0 0 gh_h1 1.Catered food from inspected and approved source. String 255 0 0 gh_h2 2. Safe food temperature maintained during transport. String 255 0 0 gh_h2_b 2B. Temperature at arrival: String 255 0 0 gh_h3 3. Facility using catered food exclusively shall have a hand washing sink in kitchen/food service area. String 255 0 0 gh_h4 4. Facility not using single service utensils exclusively meets applicable dishwashing requirements as stated in Section G(8), G(9), or G(10). String 255 0 0 gh_h5 5. Food and food related items protected from contamination during transport. String 255 0 0 gh_section_h_observations gh_section_h_observations String 255 0 0 gh_section_h_x Issues Noted: String 255 0 0 gh_i1 1.Cleaned as needed or at least daily. String 255 0 0 gh_i2 2. Paper towels stored and dispensed in a manner that minimizes contamination. All equipment in good repair. String 255 0 0 gh_i3 3. Facilities approved AFTER October 31, 1991 have: String 255 0 0 gh_i3a Enclosed with full walls and solid doors. Doors closed when not in use. String 255 0 0 gh_i4 4. Facilities approved AFTER October 31, 1998 have: String 255 0 0 gh_i4a Mechanical venting to prevent molds and odors. String 255 0 0 gh_i5 5. Hand washing sinks located in or immediately adjacent to the bathrooms. String 255 0 0 gh_i6 6. No carpeting or absorbent floor coverings. String 255 0 0 gh_i7 7. Sufficient lighting for cleaning. String 255 0 0 gh_i8 8. No storage of toothbrushes or mouthable toys. String 255 0 0 gh_section_i_observations gh_section_i_observations String 255 0 0 gh_section_i_x Issues Noted: String 255 0 0 gh_j1 1.If food preparation occurs, shall have a sink for food preparation separate from the diapering hand washing sink. String 255 0 0 gh_j2 2. Utensils used in the I/T Unit washed, rinsed and sanitized after each use with proper methods and equipment. String 255 0 0 gh_section_j_observations gh_section_j_observations String 255 0 0 gh_section_j_x Issues Noted: String 255 0 0 gh_k1 1. No utensils or toys washed, rinsed or stored in the diaper changing area String 255 0 0 gh_k2 2. Hand sink with warm running water located in the diapering area immediately accessible to the diapering surface. String 255 0 0 gh_k3 3.Diapering surface smooth, easily cleanable, nonabsorbent, and in good repair String 255 0 0 gh_k4 4. Soiled diapers stored in a solid, nonabsorbent container with tight fitting lid located in diapering area. String 255 0 0 gh_k5 5. Soiled diaper container emptied, washed, rinsed, and sanitized daily. String 255 0 0 gh_section_k_observations gh_section_k_observations String 255 0 0 gh_section_k_x Issues Noted: String 255 0 0 gh_l1 1. Adequate number of containers. String 255 0 0 gh_l2 2. Clean, nonabsorbent, in sound condition. String 255 0 0 gh_l3 3.Outside refuse area clean; containers covered at all times. String 255 0 0 gh_l4 4. Inside food refuse containers covered as required. String 255 0 0 gh_l5 5. Restrooms used by staff have covered refuse containers. String 255 0 0 gh_section_l_observations gh_section_l_observations String 255 0 0 gh_section_l_x Issues Noted: String 255 0 0 gh_reinspection_date Reinspection Date Date 8 0 0 gh_inspection_approved_date Approved Date Date 8 0 0 gh_inspector_followup The inspector has discussed the issues marked by an askerisk (*) and/or marked by an (X) on this form. String 255 0 0 gh_fac_signature_2 Child Care Provider Typed Signature: String 255 0 0 gh_time_out Departure Time Date 8 0 0 time_in Arrival Time Date 8 0 0 inspection_date Inspection Date Date 8 0 0 a1 1. Clean and free of unsanitary conditions. String 255 0 0 a2 2. No environmental hazards observed. String 255 0 0 a3 3. No evidence of insects, spiders, rodents or pest harborage. String 255 0 0 a4 4. Well ventilated, no evidence of mold, noxious or harmful odors. String 255 0 0 a5 5. Screens on windows and doors used for ventilation in good repair. String 255 0 0 a6 6. No indications of lead hazards. String 255 0 0 a7 7. No toxic or dangerous plants accessible to children. String 255 0 0 a8 8. Medicines and other toxic agents not accessible to children and stored to prevent contamination of child contact items. String 255 0 0 a9 9. All sinks equipped and mixing faucets or combination faucets with hot and cold running water under pressure. String 255 0 0 a10 10. Hot water temperature at sinks accessible to children: 100 degrees - 120 degrees F. String 255 0 0 a10_temp Temp(s) at time of inspection: String 255 0 0 a11 11. Pets free of diseases communicable to man. String 255 0 0 a12 12. Pets living quarters clean and well maintained. String 255 0 0 a13 13. Reptiles prohibited on the premises. Birds of the Parrot Family tested for Psittacosis. String 255 0 0 a14 14. Swimming/wading pools filtered, treated, tested and water quality records maintained. Meets local codes. String 255 0 0 section_a_observations section_a_observations String 255 0 0 section_a_x Issues Noted: String 255 0 0 b1 1. Select Water Type String 255 0 0 b2 2. No high hazard cross connections. String 255 0 0 b3_private 3. Constructed to prevent contamination. String 255 0 0 b4_private 4. Meets DHSS water quality requirements. String 255 0 0 b5 A. Bacteriological sample results: String 255 0 0 b6 B. Chemical sample results: String 255 0 0 section_b_observations section_b_observations String 255 0 0 section_b_x Issues Noted: String 255 0 0 c1 Select Sewer Type String 255 0 0 c2 DNR Regulated System Type String 255 0 0 c4 DHSS Regulated System Type String 255 0 0 c6 1. Functioning properly at time of inspection. String 255 0 0 c7 2. Single-Family residence lot consisting of three or more acres. String 255 0 0 c8 3. Health Hazard to children. String 255 0 0 c9 Meets DHSS and/or local requirements. String 255 0 0 section_c_observations section_c_observations String 255 0 0 section_c_x Issues Noted: String 255 0 0 d1 1. Caregivers and children wash hands using soap, warm running water and sanitary hand drying methods. String 255 0 0 d2 2. Caregivers and children wash hands after toileting, diapering, assisting with toileting and nose blowing; before preparing food; after handling raw food, cleaning and sanitizing, outdoor play, handling animals, smoking and as necessary. String 255 0 0 d3 3. An empty sink available in the kitchen to wash hands during food preparation. String 255 0 0 d4 4. Hand sink with warm running water accessible at all times to wash hand after using bathroom and diapering. String 255 0 0 d5 5. Personnel preparing food free of infection or illness. String 255 0 0 section_d_observations section_d_observations String 255 0 0 section_d_x Issues Noted: String 255 0 0 e1 1. Food from an approved source and in sound condition; no excessively dented cans. String 255 0 0 e2 2. No use of home-canned food. No unpasteurized milk. String 255 0 0 e3 3. If meals are served, kitchens shall have adequate equipment to store and prepare food safely with a minimum of a stove or other cooking equipment sized to meet the needs of the facility; a two compartment sink with hot and cold running water; and a refrigerator. String 255 0 0 e4 4. Ground beef cooked to 155° F; poultry and pooled eggs to 165° F; pork to 145°F; and all other foods cooked to at least 135° F; all hot food kept at 135° F or above. String 255 0 0 e5 5. Precooked food reheated to 165° F. String 255 0 0 e6 6. Food requiring refrigeration stored at 41° F or below. String 255 0 0 e7_a 7a. Refrigerator 41° F or below, accessible readable thermometer required. Foods in freezer frozen solid. String 255 0 0 e7_b 7 b.Temp(s) at time of inspection: String 255 0 0 e8 8. Metal stemmed thermometer reading 0 - 220° F in 2° increments for checking food temperatures. String 255 0 0 e9 9. Food, food related items and utensils covered and stored to prevent contamination by pests, toxic agents, cleaning agents, water drain lines, medicines, dust, splash and other foods. String 255 0 0 e10 10. Food, toxic agents, cleaning agents not in their original containers shall be properly labeled. String 255 0 0 e11 11. No food stored or prepared in diapering areas or bathrooms. String 255 0 0 e12 12. Food stored in food grade containers only. String 255 0 0 e13 13. Food thawed under refrigeration, 70° F running water, or microwave if part of the cooking process. String 255 0 0 e14 14. No animals in food preparation or food storage areas. String 255 0 0 e15 15. No eating, smoking, drinking during food preparation. String 255 0 0 e16 16. Food served and not eaten shall not be re-served to children in care. String 255 0 0 section_e_observations section_e_observations String 255 0 0 section_e_x Issues Noted: String 255 0 0 f1 1. Food utensils washed rinsed and air-dried. String 255 0 0 f2 2. Single-service items used only once. String 255 0 0 f3 3. Food contact surfaces cleaned-in-place are washed, rinsed, and sanitized after each use with approved agents. String 255 0 0 f4 4. Infant/toddler toys washed, rinsed and air dried after contact with body fluids, when soiled or at least daily. String 255 0 0 f5 5. Diapering surface and potty chairs washed, rinsed and sanitized after each use with approved agents. String 255 0 0 f6 6. Test kits available to check proper concentration of sanitizing agents. String 255 0 0 f7 7. Soiled laundry stored and handled in a manner which does not contaminate food and food related items and child contact items. String 255 0 0 section_f_observations section_f_observations String 255 0 0 section_f_x Issues Noted: String 255 0 0 g1 1. Adequate number of containers. String 255 0 0 g2 2. Clean, nonabsorbent, insect and rodent proof. String 255 0 0 g3 3. Outside refuse containers covered at all times. String 255 0 0 g4 4. Inside containers covered when full or accessible to children. String 255 0 0 g5 5. Soiled diapers stored in solid, non-absorbent container with tight-fitting lid located within the diapering area. String 255 0 0 section_g_observations section_g_observations String 255 0 0 section_g_x Issues Noted: String 255 0 0 reinspection_date Reinspection Date Date 8 0 0 inspection_approved_date Approved Date: Date 8 0 0 inspector_followup The inspector has discussed the issues marked by an askerisk (*) and/or marked by an (X) on this form. String 255 0 0 fac_signature_2 Child Care Provider Typed Signature: String 255 0 0 time_out Departure Time Date 8 0 0 a1_x_1 A1. Observations: String 5000 0 0 a2_x_1 A2. Observations: String 5000 0 0 a3_x_1 A3. Observations: String 5000 0 0 a4_x_1 A4. Observations: String 5000 0 0 a5_x_1 A5. Observations: String 5000 0 0 a6_x_1 A6. Observations: String 5000 0 0 a7_x_1 A7. Observations: String 5000 0 0 a8_x_1 A8. Observations: String 5000 0 0 a9_x_1 A9. Observations: String 5000 0 0 a10_x_1 A10. Observations: String 5000 0 0 a11_x_1 A11. Observations: String 5000 0 0 a12_x_1 A12. Observations: String 5000 0 0 a13_x_1 A13. Observations: String 5000 0 0 a14_x_1 A14. Observations: String 5000 0 0 b2_x_1 B2. Observations: String 5000 0 0 b3_private_x_1 B3. Observations: String 5000 0 0 b4_private_x_1 B4. Observations: String 5000 0 0 c9_x_1 Meets DHSS and/or local requirements, observations: String 5000 0 0 d1_x_1 D1. Observations: String 5000 0 0 d2_x_1 D2. Observations: String 5000 0 0 d3_x_1 D3. Observations: String 5000 0 0 d4_x_1 D4. Observations: String 5000 0 0 d5_x_1 D5. Observations: String 5000 0 0 e1_x_1 E1. Observations: String 5000 0 0 e2_x_1 E2. Observations: String 5000 0 0 e3_x_1 E3. Observations: String 5000 0 0 e4_x_1 E4. Observations: String 5000 0 0 e5_x_1 E5. Observations: String 5000 0 0 e6_x_1 E6. Observations: String 5000 0 0 e7_a_x_1 E7. Observations: String 5000 0 0 e8_x_1 E8. Observations: String 5000 0 0 e9_x_1 E9. Observations: String 5000 0 0 e10_x_1 E10. Observations: String 5000 0 0 e11_x_1 E11. Observations: String 5000 0 0 e12_x_1 E12. Observations: String 5000 0 0 e13_x_1 E13. Observations: String 5000 0 0 e14_x_1 E14. Observations: String 5000 0 0 e15_x_1 E15. Observations: String 5000 0 0 e16_x_1 E16. Observations: String 5000 0 0 f1_x_1 F1. Observations: String 5000 0 0 f2_x_1 F2. Observations: String 5000 0 0 f3_x_1 F3. Observations: String 5000 0 0 f4_x_1 F4. Observations: String 5000 0 0 f5_x_1 F5. Observations: String 5000 0 0 f6_x_1 F6. Observations: String 5000 0 0 f7_x_1 F7. Observations: String 5000 0 0 g1_x_1 G1. Observations: String 5000 0 0 g2_x_1 G2. Observations: String 5000 0 0 g3_x_1 G3. Observations: String 5000 0 0 g4_x_1 G4. Observations: String 5000 0 0 g5_x_1 G5. Observations: String 5000 0 0 general_comments_1 Use this section to provide any additional comments String 5000 0 0 gh_a1_x_1 A1. Observations: String 5000 0 0 gh_a2_x_1 A2. Observations: String 5000 0 0 gh_a3_x_1 A3. Observations: String 5000 0 0 gh_a4_x_1 A4. Observations: String 5000 0 0 gh_a5_x_1 A5. Observations: String 5000 0 0 gh_a6_x_1 A6. Observations: String 5000 0 0 gh_a7_x_1 A7. Observations: String 5000 0 0 gh_a8_x_1 A8. Observations: String 5000 0 0 gh_a9_x_1 A9. Observations: String 5000 0 0 gh_a10_x_1 A10. Observations: String 5000 0 0 gh_a11_x_1 A11. Observations: String 5000 0 0 gh_a12_x_1 A12. Observations: String 5000 0 0 gh_a13_x_1 A13. Observations: String 5000 0 0 gh_a14_x_1 A14. Observations: String 5000 0 0 gh_a15_x_1 A15. Observations: String 5000 0 0 gh_a16_x_1 A16. Observations: String 5000 0 0 gh_b3_private_x_1 B1. Observations: String 5000 0 0 gh_b4_private_x_1 B2. Observations: String 5000 0 0 gh_c9_x_1 Meets DHSS requirements, observations. String 5000 0 0 gh_c10_x_1 Meets Local requirements, observations. String 5000 0 0 gh_d1_x_1 D1. Observations: String 5000 0 0 gh_d2_x_1 D2. Observations: String 5000 0 0 gh_d3_x_1 D3. Observations: String 5000 0 0 gh_e1_x_1 E1. Observations: String 5000 0 0 gh_e2_x_1 E2. Observations: String 5000 0 0 gh_e3_x_1 E3. Observations: String 5000 0 0 gh_e4_x_1 E4. Observations: String 5000 0 0 gh_e5_x_1 E5. Observations: String 5000 0 0 gh_e6_a_x_1 E6. Observations: String 5000 0 0 gh_e7_x_1 E7. Observations: String 5000 0 0 gh_e8_x_1 E8. Observations: String 5000 0 0 gh_e9_x_1 E9. Observations: String 5000 0 0 gh_e10_x_1 E10. Observations: String 5000 0 0 gh_e11_x_1 E11. Observations: String 5000 0 0 gh_e12_x_1 E12. Observations: String 5000 0 0 gh_e13_x_1 E13. Observations: String 5000 0 0 gh_e14_x_1 E14. Observations: String 5000 0 0 gh_e16_x_1 E15. Observations: String 5000 0 0 gh_e17_x_1 E16. Observations: String 5000 0 0 gh_f1_x_1 F1. Observations: String 5000 0 0 gh_f2_x_1 F2. Observations: String 5000 0 0 gh_f3_x_1 F3. Observations: String 5000 0 0 gh_f3_a_x_1 F3A. Observations: String 5000 0 0 gh_f3_b_x_1 F3B. Observations: String 5000 0 0 gh_f3_c_x_1 F3C. Observations: String 5000 0 0 gh_f3_d_x_1 F3D. Observations: String 5000 0 0 gh_f3_e_x_1 F3E. Observations: String 5000 0 0 gh_f4_x_1 F4. Observations: String 5000 0 0 gh_f4_a_x_1 F4A. Observations: String 5000 0 0 gh_f4_b_x_1 F4B. Observations: String 5000 0 0 gh_f4_c_x_1 F4C. Observations: String 5000 0 0 gh_f5_x_1 F5. Observations: String 5000 0 0 gh_f6_x_1 F6. Observations: String 5000 0 0 gh_f7_x_1 F7. Observations: String 5000 0 0 gh_g1_x_1 G1. Observations: String 5000 0 0 gh_g2_x_1 G2. Observations: String 5000 0 0 gh_g3_x_1 G3. Observations: String 5000 0 0 gh_g4_x_1 G4. Observations: String 5000 0 0 gh_g5x_1 G5. Observations: String 5000 0 0 gh_g6_x_1 G6. Observations: String 5000 0 0 gh_g7_x_1 G7. Observations: String 5000 0 0 gh_g8a_observation_1 G8A Observation: String 5000 0 0 gh_g8b_observation_1 G8B Observation: String 5000 0 0 gh_g9a_observation_1 G9A Observation: String 5000 0 0 gh_g9b_observation_1 G9B Observation: String 5000 0 0 gh_g10a_observation_1 G10A Observation: String 5000 0 0 gh_g10b_observation_1 G10B Observation: String 5000 0 0 gh_g10c_observation_1 G10C Observation: String 5000 0 0 gh_h1_x_1 H1. Observations: String 5000 0 0 gh_h2_x_1 H2. Observations: String 5000 0 0 gh_h3_x_1 H3. Observations: String 5000 0 0 gh_h4_x_1 H4. Observations: String 5000 0 0 gh_h5_x_1 H5. Observations: String 5000 0 0 gh_i1_x_1 I1. Observations: String 5000 0 0 gh_i2_x_1 I2. Observations: String 5000 0 0 gh_i3_x_1 I3. Observations String 5000 0 0 gh_i4_x_1 I4. Observations: String 5000 0 0 gh_i5_x_1 I5. Observations: String 5000 0 0 gh_i6_x_1 I5. Observations: String 5000 0 0 gh_i7_x_1 I7. Observations: String 5000 0 0 gh_i8_x_1 I8. Observations: String 5000 0 0 gh_j1_x_1 J1. Observations: String 5000 0 0 gh_j2_x_1 J2. Observations: String 5000 0 0 gh_k1_x_1 k1. Observations: String 5000 0 0 gh_k2_x_1 K2. Observations: String 5000 0 0 gh_k3_x_1 K3. Observations: String 5000 0 0 gh_k4_x_1 K4. Observations: String 5000 0 0 gh_k5_x_1 K5. Observations: String 5000 0 0 gh_l1_x_1 L1. Observations: String 5000 0 0 gh_l2_x_1 L2. Observations: String 5000 0 0 gh_l3_x_1 L3. Observations: String 5000 0 0 gh_l4_x_1 L4. Observations: String 5000 0 0 gh_l5_x_1 L5. Observations: String 5000 0 0 gh_general_comments_1 Use this section to provide any additional comments String 5000 0 0 time_out_capture Departure Time (CST): String 256 0 0 time_in_capture Arrival Time (CST) String 256 0 0 gh_time_out_capture Departure Time (CST): String 256 0 0 gh_time_in_capture Arrival Time (CST): String 256 0 0 esri_user Username (System) String 256 0 0 esri_user_query Assigned Username String 256 0 0 username Username String 255 0 0 sys_mode Mode String 255 0 0 sys_status Status String 255 0 0 operating_system Operating System String 255 0 0 app_version App Version String 255 0 0 device_model Device Model String 255 0 0 on_line Online String 255 0 0 summarize_all_violations Violations noted in any part of the inspection? String 256 0 0 gh_summarize_all_violations Violations noted in any part of the inspection? (GH) String 256 0 0 summary_violation Summary Violation (use for FH report) String 256 0 0 gh_summary_violation Summary Violation (use for GH Report) String 256 0 0 contactemail1 LPHA Email 1 String 256 0 0 contactemail2 LPHA Email 2 String 256 0 0 close_request_date Close Request Date Date 8 0 0 other_reason Describe Other Reason String 256 0 0 closing_detail Closing Explanation String 2000 0 0 verify_billing Verify Billing String 256 0 0 verify_billing_date Verify Billing Date Date 8 0 0 billed Submitting for Billing String 256 0 0 verify_no Reason for not verifying for payment String 256 0 0 sc_hours Enter the number of hours approved for Special Circumstance Integer 4 0 0 invoice_number Invoice Number (calculate) String 256 0 0 invoice_display Invoice Display (DH38) String 256 0 0 date_text Stores text for invoice number (DH38) String 256 0 0 20240522 /9j/4AAQSkZJRgABAQEAAQABAAD/2wBDAAgGBgcGBQgHBwcJCQgKDBQNDAsLDBkSEw8UHRofHh0a 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